Create an Activity Plan with your site supervisor that identifies the plan for attaining the knowledge and skills identified in the "Learning Contract" completed during your Pre-Practicum. Include the

Create an Activity Plan with your site supervisor that identifies the plan for attaining the knowledge and skills identified in the "Learning Contract" completed during your Pre-Practicum. Include the 1

Activity Plan Scoring Guide

Note: The instructor may adapt this form as needed

Criteria	Possible Score	Actual Score
Activity Plan includes:
Resources utilized, including readings, Web sites, and agency materials.	12
Persons to be consulted
Observations to be done (details present).	20
Timeline for goals to be met.	20
Feedback loop: Plan for revisiting the Action Plan to determine progress towards meeting learning goals, and appropriate revisions.	20
Mechanics of Writing (includes spelling, punctuation, grammar, language use).	20
Total	100